Lacey Drug Company Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHRE007082 Issued in GA

Legal business name

LACEY DRUG COMPANY INC

Doing business as

Lacey's Marietta Pharmacy

Practice address

790 Church St NE Ste 210
Marietta, GA 30060-8950

Phone

(770) 424-3131

Fax

(770) 424-2935

NPI assigned

Aug 29, 2006

Reactivated

Sep 10, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry Lindsey Braden

Title

Manager

Phone

(770) 424-3131

Specialties & licenses 10

Addresses

Other identifiers 1

Other names 1

• LACEY'S MARIETTA PHARMACY Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Logan Russell Henderson, PHARMD

  • Pharmacist
  • Marietta, GA
  • NPI 1184376212
  NPD
• Edmond F. Hackney, RPH

  • Pharmacist
  • Marietta, GA
  • NPI 1821108465
  NPD (past)
• Jeffrey Wayne Smith, PHARM D.

  • Pharmacist
  • Marietta, GA
  • NPI 1306112263
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1982713566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "SUITE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "770-424-3131",
            "fax_number": "770-424-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE STE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608950",
            "telephone_number": "770-424-3131",
            "fax_number": "770-424-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-09-10",
        "deactivation_date": "2024-03-26",
        "reactivation_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-424-3131"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE007082",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": "PHRE007082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00404137A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LACEY'S MARIETTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LACEY'S MARIETTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Paul Labanc, D.D.S.
• Laura M Labarbera, LCSW
• Laboratory Corporation of America Holdings
• Laura Lacagnina
• Lacey Drug Co., Inc. (Lacey's Marietta Pharmacy)
• Lacy Holland Lacey, AGACNP-BC
• Vicki Posey Lackey, M.S. BCBA
• Vuk Lacmanovic, MD
• Mary J Lacy, NP
• Robyn Ladinsky

• Durable Medical Equipment & Medical Supplies in Marietta, GA
• Providers in Marietta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.